Nathan, Viswa B

Nathan, Viswa B is an sole proprietor health care provider with primary practice located at 136 Sherman Ave Suite 308, New Haven CT 06511-4388. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Nathan, Viswa B can be contacted via phone (230) 946-3000.

Contact Information

Primary practice address
136 Sherman Ave Suite 308 New Haven CT 06511-4388
Phone: (230) 946-3000
Fax: (203) 946-3006
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 022728 Connecticut

Profile Details

NPI number 1730161720
LBN Legal business name Nathan, Viswa B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2005
Last updated May 15th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730161720 NPPES
Connecticut MEDICAID 001227263

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